Provider Demographics
NPI:1457631806
Name:ALLEYNE, BRIANNE D
Entity Type:Individual
Prefix:MS
First Name:BRIANNE
Middle Name:D
Last Name:ALLEYNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 OCEAN AVE
Mailing Address - Street 2:6B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-2904
Mailing Address - Country:US
Mailing Address - Phone:718-693-5290
Mailing Address - Fax:
Practice Address - Street 1:465 OCEAN AVE
Practice Address - Street 2:6B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-2904
Practice Address - Country:US
Practice Address - Phone:718-693-5290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY696799961174400000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY696799961OtherHAND IN HAND DEVELOPMENT INC